HomeMy WebLinkAbout1995-11-06 Water Well RecordWELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO
CountyNams WELL RECORD 559663
Hennepin Minnesota Statutes Chapter 1031
Township Name Township No Range No Sectror No Fraction WELL DEPTH Icomplotedl [DoWork Completed
OrOIIu 117ty' 2 if? 9 SW,. N,: NE156 ,
Numerical Street Address and City of Well Location or Fue Number DRILLING METHOD
710 Gander R d . LCable Tod [ i Driven O Dug
U Auger ❑ Rotary ❑ Jetted
Show exact location of well in section grid with'X' Sketch map of well location.
Showing property Imes.--.-----
N roads and buildings DRILLING FLUID
sy0!EN
an®
PROPERTY OWNER'S NAME
Madmress d itter aent
y addthan property address inaicated above
3300 Edinnorouyh Way
Suite. 211
Edina, 'Tn 55435
GEOLOGICAL MATERIALS
clay
clay
clay S aand
sand
COLOR (HARDNESS OF I FROM
MATERIAL
,�rUw1)
yra�
brown
Use a second sheet it needed
REMARKS. ELEVAT'ON. SOURCE OF DATA, etc
JAN 10 1996
sof t 0
sort 43
t,_1roiC' ul C
.USE
C Domestic
❑lY
n9
' Irrigation
Public ❑ Irld1�VjI/CpltYllattyal
PublPublic
i Test Well
Dewalenng ❑ Rome"
❑
CASING Orrve Shoe'
Yes r. No
HOLE DIAM
' Steel Threaded Welded
.jj -, Plastic
_
CASING DIAMETER
WEIGHT
— _ in t01_4 C _- ft
- _ 1.9 aa.T
8 A In. lot 3 0 n.
- __in to ---- ^
— — roan.
U n. lo LS-&
—
_ ---- in to _.. .-- --n
-------.---_-.— Iw.A.
M, to h
SCREEN _
_—
1 d_ 6 G 1 c
OPEN HOLE
Make _
hem ILb--- fl
Type_ jr- _iP$I �'-----
Dwn. -
SwG8lue -- 44 6j G t,
---Length = 0 f t .
Set between -.- y —n. and_yLt_.ft
.
FITTINGS'
a .yv
STATIC WATfR LEVEL
TO
_. __ _ _ �_ jj_— n 4 below
n above (arid surface Date menwW _ 1 1 / 6
PUMPING LEVEL (below land surface)
43
r
_-- h after
1 firs pumping 50 g p m
WELL HEAD COMPLETION
86
` `' .. C
LN"less adapter ma facture - 1►:ll �, ems} M"91 --;-ire• - `e. _L - —
Casing Prolectior
_ _ - ❑ 12 in above grade
S u E t 1 861132 GROUTING INFORMATION Well grouted' N Yes No
soft 1132 1156 Grout Material Neal cement K Bentomte
from to -_ n. ❑ yda. [: bags
from .. _ to- _ _. _ n. 0 lift [' bags
from_ to ft. !j )rota. L bags
NEAREST KNOWN SOURCE OF CONTAMINATION
50 _ _feet a a� __—^rllracbon 1� l um b i d tY..
Well disinfected upon completion- :1 Yes n No
PUMP
. Not installed Date installed 11 / 8 / 94
Manufacturers name Aermotur
Model number HP �1 _ Votes i i n —_ ---
Length of drop Poe _-3L:L_ _- — n cw*&*7 _— _ 12 g p m
Pressure Tank Capacity —
T ype 41tubmemrble i ' L S Turbkte ❑ ReciproeaN ❑ Jet
ABANDONED WELLS
Does property have any riot in use ara not sealea weu(s)'t C Yes U No
WELL CONTRACTOR CERTIFICATION
This well was drilled Wider my SuPerVlslan and in accordance with Mmnesota Rules Chapte' 4,25
The information contavlea m this report is true to the best Of my knowledge
Leuthner Well Inc. 10125
/ 11bisned Repre tar gna re 0a1e
Kan Sc , - i 1/3/96
-- - -- Name of Driller - DA's -
LOCAL COPY 1559663
HE-01205-04(Rev. SM)